보존적 후두절제술을 시행한 환자에서 술 후 폐합병증 예측인자

김재원,고국진,김민욱,배성호,김보묵,정윤건,김영모 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.3

Background & Objectives:To predict postoperative pulmonary complication in patients with conservative laryngectomy, variable factors such as pulmonary function test (PFT) have been reported. Therefore, we reviewed the relationships between postoperative pulmonary complications and preoperative risk factors including the parameters of PFT. Patients & Method: From 1997 Jun. to 2005 July., conservative laryngectomy was performed under diagnosis of laryngeal cancer in 36 patients. The factors related to age, history of lung diseases, the parameters of PFT (FEV1, FEV1/FVC and FVC), and the types of surgery were analyzed to evaluate the postoperative pulmonary complication. We used a retrospective analysis of medical records and Fisher exact method to verify the relationships between preoperative risk factors and the pulmonary complications. Results:8 patients had postoperative pulmonary complication. Age, history of lung diseases and PFT parameters had no statistical significance. Among them, 7 patients and 1 patient had takensupracricoid laryngectomy and supraglottic laryngectomy, respectively. Supracricoid laryngectomy cases had more significant postoperative pulmonary complications than vertical partial laryngectomy cases. Conclusion:Age, the history of lung diseases, and parameters of PFT had no predictable value for postoperative lung complications. In the comparison between the surgery types, only supracricoid laryngectomy cases had statistical increase of postoperative pulmonary complications.. (Korean J Otolaryngol 2006;49:319-22)

두경부암에서 기존의 영상기법과의 비교를 통한 PET-CT의 임상적 유용성

김재원,고국진,윤석영,이승호,김영모 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.10

Background and Objectives:In head & neck cancer, the conventional CT and MRI are useful methods in imaging the anatomicalstructures of cancer, but they have limits in estimating sensitivity and specificity. To overcome these limits, PET-CT, animaging technique using metabolism emitting from cancer tissues, was introduced. This study was aimed to evaluate the clinicalvalues of PET-CT by comparing the PET-CT of the conventional CT/MRI, with respect to imaging primary lesions, finding metastaticcervical lymph nodes, and discovering any tumor or recurrence. Materials and Method:Seventy patients, who werediagnosed with head and neck cancer, were selected from Inha Hospital from March, 2004 to July, 2005. For every patient selected,a retrospective analysis was done by medical record review. The studied patients were divided into group 1 and 2. Group1 was composed of patients that had preoperative evaluation for staging, group 2 with follow-up patients after primary treatment.In group 1, the analysis was done by comparing pathohistologic results from PET-CT to CT/MRI findings and in group 2, radiologicimaging studies were compared by follow-up imaging or clinical manifestation after 6 months. Results:For the primarysites, 22 cases were laryngeal cancers, and 17 cases were thyroid. For primary site cancers and metastatic lymph nodes in group1 and 2, there were no statistical differences of sensitivity, specificity and predictability between CT/MRI and PET-CT imaging.Conclusion:We were not able to prove the clinical values of PET-CT, since PET-CT had no meaningful differences from the conventionalmethods in imaging primary lesions, finding metastatic cervical lymph nodes, and follow-up. (Korean J Otolaryngol2006;49:1014-7)

자료포락분석을 이용한 간호조직 성과관리: 문헌 분석과 활용 전략

임지영,고국진,이현희,박연홍,양인자,최윤정,Lim, Ji Young,Ko, Gug Jin,Lee, Hyun Hee,Park, Yeon Hong,Yang, In Ja,Choi, Yun Jeong 한국가정간호학회 2015 가정간호학회지 Vol.22 No.1

Purpose: The purpose of this study was to analyze nursing research using data envelopment analysis and suggest directions for future research. Methods: We established -criteria literature search. e reviewed 45 from RISS, KISS, National assembly library and NDSL DB. Data were collected on December 17, 2013. developed analytic framework of literature reviews using Yun's study. This framework had 8 items related to approach of data envelopment analysis. Results: literature established -criteria. Average numbers of input and output variables were 2.4 and 4.2, respectively. All selected research conducted efficiency analysis, analysis, and inefficiency analysis. However only 3 research. Conclusion: he results of studysuggest that data envelopment are needed to enhance efficiencies of nursing organization as follows individual nurse's profiling to develop customized performance management plans; patient centered nursing interventions; and financial performance financial reports.

두경부 종물의 드문 원인인 Kimura씨 병

김재원,전용선,고국진,김경태,최정석,김영모 대한이비인후과학회 2005 대한이비인후과학회지 두경부외과학 Vol.48 No.4

Background and Objectives:Kimura’s disease is a rare, allergic, inflammatory disorder of unknown cause. Patients oftenpresent nontender subcutaneous swelling in the head and neck region. Lymphadenopathy, peripheral eosinophilia, and anelevated serum IgE are also present. Kimuras disease is easily mistaken for malignant tumor, and has been confused withangiolymphoid hyperplasia with eosinophilia (ALHE). The diagnosis is confirmed by a biopsy. Treatment options range fromobservation to surgical excision, steroid therapy, and radiotherapy. We summarize characteristics of clinical feature, laboratoryresults in six cases of Kimuras disease and report the results of treatment, including surgery and steroid therapy. Subjects andMethod:Between May 1999 and August 2003, six cases were diagnosized as Kimura’s disease at the Department of OtorhinolaryngologyHead & Neck Surgery at the Inha University. Six cases included four males and two females, with the mean age of47.3 years. Preoperative evaluation included CT or MRI, CBC, and urine analysis. The study was done retrospectively. Result:Primary sites were two parotid glands, one submandibular gland, two neck lymph nodes, one scalp & cheek. Complete excisionwith steroid therapy was done in all cases. Five cases had peripheral eosinophilia. All cases reveal renal involvement,postsurgical complication or recurrence. Conclusion:Steroid therapy following surgical excision is the treatment of choice fordefinitive diagnosis and initial management. Kimuras disease must be included in the differential diagnosis of unusual head andneck mass because Kimuras disease is an unusual condition and it imitates the neoplastic or imflammatory condition in the headand neck.

간호대학생의 기업가정신, 성격특성, 창업교육 요구도가 창업의지에 미치는 영향

임지영,김근면,고국진 한국자료분석학회 2017 Journal of the Korean Data Analysis Society Vol.19 No.6

The purpose of this study was to find out the effects of entrepreneurship, personality traits, and entrepreneurship education needs on entrepreneurial intention in nursing students. Entrepreneurship, personality traits, entrepreneurship education needs and entrepreneurial intention were investigated for 301 students in the third and fourth grade who were enrolled in the nursing department and agreed to participate in the study. The data were analyzed using the SPSS 23.0 program. As a result, entrepreneurship, personality traits, entrepreneurship education needs and entrepreneurial intention showed statistically significant correlation. Entrepreneurship, sincerity of personality traits, and entrepreneurial education needs were found to have significant influence on entrepreneurial intention. Based on the results of this study, it is expected that it can be used as a basis for the development of entrepreneurship education and support programs for nursing students in the future. Based on this study, it is suggested that the nurses in the 4th industrial revolution era need further study for the development of the nursing business area and the business model that can carry out the nursing business in the community with self-initiative. 본 연구는 간호 대학생을 대상으로 기업가정신, 성격특성, 창업교육 요구도가 창업의지에 미치는 영향을 파악하여 향후 바람직한 간호창업교육 및 창업지원 활동 수립에 필요한 근거자료를 마련하고자 시도되었다. 간호학과에 재학 중이고 연구참여에 동의한 3, 4학년 학생 301명을 대상으로 기업가정신, 성격특성, 창업교육요구도, 창업의지를 조사하였으며, 조사한 자료는 SPSS 23.0 프로그램을 이용하여 통계처리하였다. 분석 결과 기업가정신에서는 위험감수성이 낮았고, 성격특성에서는 성실성이 높은 반면 정서적 안정이 낮은 특성을 나타냈다. 일반적 특성에서는 성별, 학년, 아르바이트 경험 등에서 차이를 보였다. 기업가정신, 성격특성, 창업교육 요구도, 창업의지간에는 통계적으로 유의한 상관관계를 보였고 기업가정신, 성격특성 중 성실성, 창업교육 요구도는 각각 창업의지에 유의한 영향을 미치는 요인으로 나타났다. 본 연구의 결과를 토대로 향후 간호 대학생을 위한 창업 교육 및 지원 프로그램 개발의 근거 자료로 활용할 수 있을 것으로 기대한다. 현재 대학에서 운영되고 있는 다양한 창업관련 교과목과 교육내용을 분석하여 간호대학생에 적합한 창업교육 프로그램 개발이 이루어져야 하며 창업교육의 구성도 일회적인 강연이나 단기 과정은 지양하고 장기적인 계획을 가지고 간호학 정규 교과과정과 연계된 학년별, 단계별 프로그램을 개발하는 것이 필요하다. 아울러 본 연구를 기반으로 4차 산업혁명시대에 간호사가 자기주도성을 가지고 지역사회에서 간호 사업을 펼칠 수 있는 간호창업 영역 및 비즈니스 모델 개발을 위한 후속 연구도 필요함을 제안한다.

균형성과표를 이용한 병원 간호조직의 핵심성과지표 문헌분석

임지영,오승은,고국진,이현희,박연홍,장진희,윤수미,Lim, Ji Young,Ok, Seung Eun,Ko, Gug Jin,Lee, Hyun Hee,Park, Yeon Hong,Jang, Jin Hui,Yun, Soo Mi 한국가정간호학회 2014 가정간호학회지 Vol.21 No.1

Purpose: The purpose of this study was to analyze key performance indicators using a balanced scorecard in the nursing department of hospitals, and to find useful suggestions for future research. Methods: Before starting the literature search clear inclusion and exclusion criteria were determined. After that, were viewed 41 studies from the RISS, KISS, National assembly library, and NDSLDB. Data were collected on October 17, 2013. Researchers developed an analytic framework for the literature review using a balanced score card development process and construction steps of previous studies. This framework had 10 steps related to the balanced score card development process. Results: A total of 10 studies met the inclusion and exclusion criteria. We identified 234 key performance indicators for the nursing department. The average number was 6.6 in finance perspective, 8.6 in perspective, 11.9 in internal process perspective, and 6.2 in learning and growth perspective. We found that 173 indicators had been cited only once. 61 indicators were cited over twice. Further, 8 indicators employed different perspectives on different studies. Conclusion: The results of the present study summarize useful information on recent trends on key performance indicators using a balanced score card in the nursing department of hospitals. These results will help develop key performance indicators and provide directions for future research.

객관적인 후각 기능 평가를 위한 후각 전위 유발 검사

최윤석,윤석영,고국진,한길수,장태영 대한이비인후과학회 2007 대한이비인후과학회지 두경부외과학 Vol.50 No.8

Background and Objectives:proper management of olfactory dysfunction. But there is no confirmative objective method for olfactory function evaluation. Recently, olfactory evoked potential by jet steam method was introduced as an objective method for the evaluation of olfactory function. The purpose of this study is to evaluate clinical eficacy of olfactory evoked potential. Subjects and Method:Thirty two normal individuals were evaluated with olfactory evoked potential and their olfactory thresholds were within normal range were averaged by Neuropack Four Computer. Results:Twenty-nine individuals had typical positive waves with latency near 0.1ms, but three individuals had no typical positive wave. The threshold of twenty individuals in electro-olfactometry was E1 with E1 recognition or detection threshold in T&T olfactometry. The threshold of other nine individuals in electro-olfactometry was E2 with E1 recognition and detection threshold in T&T olfactometry. Conclusion:Olfactory evoked potential has good (Korean J Otorhinolaryngol-Head Neck Surg 2007 ;50 :672-6)

치매노인 부양자의 부양부담과 생활만족도 예측모형

이영휘,임지영,김주연,조효임,고국진 한국노인간호학회 2011 노인간호학회지 Vol.13 No.3

Purpose: The purpose of this research was to identify a causal structural model of burden of care and quality of life for caregivers of patients with dementia. The model would provide a theoretical framework for reduction of caregiver burden and increased quality of life. Methods: This study was designed to construct a model that predicts care burden and life satisfaction of caregivers of elders with dementia. The study was conducted using a convenience sampling method to select 180 family caregivers for people with dementia from 8 daycare centers in Incheon, Korea. Data were collected using questionnaires, and analyzed using descriptive statistics and correlation analysis with the SAS 10.0 program. The Linear Structural Modeling (LISREL) 8.13 program was used to find the best fit model. Results: The variables predicting caregiver life satisfaction were depression, fatigue,perceived health status and willingness to care. These variables explained 65% of the variance in life satisfaction. The variables predicting caregiver burden were depression, fatigue and functional status of elders. These variables explained 69% of the variance in caregiver burden in this model. Conclusion: The above results indicate the need to develop intervention programs which will reduce the care burden and promote life satisfaction in caregivers.

타액선 내시경술: 타액선 질환의 내시경적 진단과 치료

김재원,김대형,김경태,김태연,고국진,최정석,김영모 대한이비인후과학회 2005 대한이비인후과학회지 두경부외과학 Vol.48 No.3

Background and Objectives:Obstructive lesion of salivary glands by salivary duct calculi and stenosis is the main inflama-tory disease of major salivary glands. Recently, the sialendoscopy has been introduced for the diagnosis and intervention of tory salivary gland diseases. Subjects and Method:Diagnostic and interventional sialendoscopy were performed in 19 patients (7 parotid glands, 12 submandibular glands), who had salivary duct calculi or recurrent sialadenitis without calculi from 2003 Sep. to 2004 Jun. Diagnostic sialendoscopy was performed for obstructive lesions and evaluation of ductal status. Interventional sialendoscopy was performed for the removal of salivary duct calculi and dilatation of duct stenosis in cases with calculi and stenosis. Results:3 glands had sialadenitis with no evidence of obstruction. Only one case with salivary duct calculi was failed. The remaining 10 calculi were removed with microforceps and basket with or without laser fragmentation. The average size of sialoliths was 5.2 m and multiple stones were found in 2 cases. Five cases with stenosis of parotid and submandibular gland duct were dilated with balloon catheter or endoscopy sheath successfully. In the remaining 3 glands with no obstruction, the finding of ductal in-flamation was identified. No major complications were noted. Conclusions:Diagnostic sialendoscopy is a new and minimal allows the extraction of salivary duct calculi in most cases and the dilatation of stenotic duct. This technique might be useful in preventing open gland surgery in well indicated cases.

성과중심 교육과정 개발을 위한 간호관리실습 사례시뮬레이션 적용 및 내용 분석

임지영(Ji Young Lim),고국진(Gug Jin Ko) 한국콘텐츠학회 2017 한국콘텐츠학회논문지 Vol.17 No.9

본 연구는 간호관리과정의 5요소에 기반을 둔 간호관리실습 사례시뮬레이션 구성틀을 개발하고, 이를 실제 간호 대학생의 간호관리실습에 적용한 후 내용 분석을 실시함으로써, 향후 간호관리실습 교육에서의 성과중심 교육과정 개발에 필요한 기초 자료를 마련하고자 한 것이다. 본 연구의 대상은 일 대학의 간호학과 4학년 105명 학생이 간호관리실습 과제로 제출한 간호관리실습 사례시뮬레이션 보고서이다. 연구도구는 간호관리실습 사례시뮬레이션 구성틀로 본 연구자가 간호관리과정의 기획, 조직, 인적자원관리, 지휘, 통제의 5요소에 기반하여 기존 시뮬레이션 실습에서 활용된 브레인스토밍과 디브리핑 과정을 반영하여 개발하였다. 연구 결과 32개의 임상 간호 사례에 대해 간호 대학생은 간호관리과정 5요소별 간호관리 문제해결에 있어 1차 브레인스토밍과 디브리핑 과정에서는 79.6%의 적절률과 11.6%의 개념 오류율, 5.6%의 분류 오류율을 보인 반면, 재추론 과정인 2차 브레인스토밍과 디브리핑 과정에서는 94.6%의 적절률 상승과 0.0 % 의 개념 오류율, 4.4%의 분류 오류율 감소를 보였다. 이는 본 연구의 간호관리실습 사례시뮬레이션 구성틀이 간호 대학생의 간호관리과정 적용에 필요한 사고력과 논리적 추론 역량을 증진하는 효과적임을 보여주는 결과라 할 수 있다. 본 연구는 간호 대학생의 간호관리실습과 간호관리 이론 교과목에 활용할 수 있을 뿐 아니라, 향후 임상간호사의 간호관리 역량 강화를 위한 시뮬레이션 기반 직무교육 또는 보수교육으로도 활용할 수 있을 것이다. 아울러 향후 다양한 간호관리 임상 현장에서의 후속 연구와 간호 대학생의 졸업 후 간호관리 직무 능력에 미치는 영향을 파악하기 위한 종단적 코호트 연구도 필요함을 제안한다. The purpose of this study was to develop a nursing management case simulation (NMCS) framework based on the five components of nursing management process and to apply it to clinical nursing practice of nursing college students. The subjects of this study were NMCS reports submitted by the 4th grade 105 nursing students of an university. The research tool is a simulation framework for nursing management practice. It reflects the brainstorming and debriefing process used in the previous simulation exercise based on the five elements of planning, organization, human resource management, directing and control of the nursing management process respectively. As a result of the study, 32 nursing management cases were found to have 79.6% correct rate, 11.6% concept error rate, and 5.6% classification error rate in the first brainstorming and debriefing process for the five components of nursing management process. On the other hand, in the second brainstorming and debriefing process, 94.6% correct rate, 0.0% concept error rate, and 4.4% classification error rate. Based on these results, the NMCS framework developed in this study can be applied to the nursing management theory and practice course of nursing college students as well as simulation based job training and maintenance educations for clinical nurses. Therefore, we propose follow-up studies in various clinical nursing settings and a longitudinal cohort study to investigate the effect of nursing management job skills of nursing college students after graduation.